Patient-reported outcomes better in MIGS than incisional glaucoma surgery

Patient-reported outcomes appear to be better after minimally invasive glaucoma surgery (MIGS) compared to incisional glaucoma surgery, according to a poster presented at AAO 2021.

An 18-item questionnaire on symptoms, daily activities, self-care, social life, emotional symptoms, and patient satisfaction was completed by 320 adult patients who underwent incisional surgery (n = 187) or MIGS (n = 133) with ≥3 months of follow-up. Incisional group procedures included trabeculectomy (53%), Ahmed valve implant (39%), Ex-press shunt (4%), non-penetrating deep sclerectomy (2%), and Baeveldt implant (2%). MIGS procedures included Kahook Dual Blade (40%), Gonioscopy Assisted Transluminal Trabeculotomy (35%), Endocyclophotocoagulation (4%), and iStent (1%).

Respondents’ perception of worsening visual acuity was higher in the incisional group than in the MIGS group. Patients who underwent MIGS reported less interference with daily activities, dry eye, and redness. In addition, MIGS patients reported significantly better self-care and social lives while the incisional group had higher stress perception and negative moods.

Patients from the MIGS group perceived the number of eye drops and follow-up visits after surgery as lower and were able to decrease drops after surgery. Overall, the MIGS group reported higher satisfaction with the surgical outcome.

Reference
Alvarez-Ascencio D, et al. Patient-Reported Outcomes After Incisional Glaucoma Surgery vs. MIGS. Presented at: AAO 2021.